Individual
JASON EDWARD THERRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
281 N LYERLY ST STE 200, CHATTANOOGA, TN 37404-2728
(423) 698-0850
(423) 698-0511
Mailing address
4702 PRESERVE DR, CHATTANOOGA, TN 37416-6113
(706) 284-9816
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
28026
FL
2251G0304X
Geriatric Physical Therapist
Primary
9009
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q01851A
—
TN
05
—
Q025007
—
TN
Enumeration date
10/29/2014
Last updated
08/25/2022
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